Interaction-Limited Safe Continuous-Time RL for Dynamical Medical Treatment

Dynamic medical treatment requires deciding treatment intensity and intervention timing, while patient states evolve continuously and adverse events may occur between clinical interactions. Most existing treatment learning methods assume fixed schedules or enforce safety only at discrete decision points. We propose Interaction-Limited Safe Continuous-Time Reinforcement Learning, a framework that jointly optimizes treatment administration and clinical interaction timing under trajectory-level safety constraints. Our key idea is to reformulate the continuous time treatment problem as an option-based semi-Markov decision process, where each option specifies a continuous-time treatment policy and its duration. We develop a safety-tightening mechanism showing that suitably constructed constraints at interaction times guarantee safety over the full continuous-time trajectory with high probability. We further establish finite-sample guarantees for policy learning from logged treatment trajectories and introduce a practical data-driven conservative surrogate. Experiments show that the proposed adaptive interaction-timing mechanism improves both safety and treatment effectiveness over equidistant interaction schemes across different safe policy optimization methods.

MedGym:A Unified Continuous-Time Benchmark for Dynamic Medical Treatment Reinforcement Learning

Medical treatment recommendation poses several challenges to reinforcement learning (RL): patient physiology evolves in continuous time, measurements and interventions are performed at irregular intervals, and treatment effects vary substantially across individuals. Existing RL formulations and simulated environments, however, are based on discrete-time MDP or POMDP abstractions with fixed or pre-specified decision intervals. Thus, it remains difficult to evaluate whether RL methods can handle time-interval-dependent disease progression, personalized treatment response, and safety between consecutive measurement points. To address this gap, we introduce MedGym, a benchmark environment for dynamic treatment recommendation. MedGym models longitudinal patient evolution in a continuous-time framework and constructs a configurable medical RL benchmark from clinical data by using Physics-Informed Neural Networks. The resulting benchmark supports both offline and online RL, and enables direct comparison between discrete-time and continuous-time methods under irregular treatment timing and patient-specific dynamics. Besides, MedGym supports evaluation from clinically important perspectives, including personalization, trajectory-level safety, and the performance gap between model-based offline learning and online deployment. By providing a standardized and configurable benchmark for continuous-time dynamic treatment, MedGym aims to facilitate more realistic and informative evaluation of medical RL methods.

EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMs

Clinical decision-making (CDM) is central to real-world clinical workflows, where clinicians infer diagnoses, select treatments, or anticipate future health outcomes under incomplete evidence. LLMs are increasingly used to support these decisions due to strong language capabilities, broad biomedical knowledge, and efficiency, yet the reliability of LLMs on real-world clinical decision tasks remains insufficiently understood. To evaluate CDM models, especially LLM-based models, an ideal and practical medical decision benchmark should be constructed via an automated yet reliable pipeline to ensure both scale and quality. Moreover, the grounding of a CDM benchmark in real patient EHRs can better support evaluation on practical CDM tasks that require substantive biomedical knowledge and clinical inference. To fill the gaps, we introduce EHRBench, an automated and reliable EHR-grounded benchmark for evaluating LLM-based clinical decision-making at scale. To ensure scalability and reliability, EHRBench is constructed through an EHR-LLM-KB(knowledge-base) interaction pipeline. For efficiency, we use a specialized LLM to automatically convert encounter-level EHR trajectories into structured templates and deterministically instantiate the templates into QA items. In parallel, we apply systematic KB-based verification and enrichment to filter hallucinated or ambiguous relations and to improve reliability. Using this pipeline, we construct nearly 1M (960,067) QA items spanning three core inference-required clinical decision tasks: diagnosis, treatment, and prognosis. We benchmark more than 30 representative LLMs on EHRBench and provide detailed analyses of performance and robustness. The results show consistent capability trends across settings, further validating the reliability of EHRBench and highlighting actionable gaps toward clinically reliable LLM systems.

Evaluation of Winning Solutions of 2025 Low Power Computer Vision Challenge

The IEEE Low-Power Computer Vision Challenge (LPCVC) aims to promote the development of efficient vision models for edge devices, balancing accuracy with constraints such as latency, memory capacity, and energy use. The 2025 challenge featured three tracks: (1) Image classification under various lighting conditions and styles, (2) Open-Vocabulary Segmentation with Text Prompt, and (3) Monocular Depth Estimation. This paper presents the design of LPCVC 2025, including its competition structure and evaluation framework, which integrates the Qualcomm AI Hub for consistent and reproducible benchmarking. The paper also introduces the top-performing solutions from each track and outlines key trends and observations. The paper concludes with suggestions for future computer vision competitions.

Prompt Amplification and Zero-Shot Late Fusion in Audio-Language Models for Speech Emotion Recognition

Audio-Language Models (ALMs) are making strides in understanding speech and non-speech audio. However, domain-specialist Foundation Models (FMs) remain the best for closed-ended speech processing tasks such as Speech Emotion Recognition (SER). Using ALMs for Zero-shot SER is a popular choice, but their potential to work with specialists to achieve state-of-the-art (SOTA) performance remains unexplored. We propose ZS-Fuse, a late-fusion method that combines zero-shot emotion estimates from a dual-encoder ALM with specialist FMs. To handle ambiguity in emotions and sensitivity to prompt choice, 1) we use a simple prompt ensemble and 2) suggest a novel technique called prompt amplification, which repeats audio and text queries to discover stronger zero-shot capabilities. We demonstrate the efficacy of our technique by evaluating ZS-Fuse with three dual-encoder ALMs and two FMs, and report improvements over SOTA baselines, such as WavLM-Large, on three speech emotion recognition datasets.

ECG-MoE: Mixture-of-Expert Electrocardiogram Foundation Model

Electrocardiography (ECG) analysis is crucial for cardiac diagnosis, yet existing foundation models often fail to capture the periodicity and diverse features required for varied clinical tasks. We propose ECG-MoE, a hybrid architecture that integrates multi-model temporal features with a cardiac period-aware expert module. Our approach uses a dual-path Mixture-of-Experts to separately model beat-level morphology and rhythm, combined with a hierarchical fusion network using LoRA for efficient inference. Evaluated on five public clinical tasks, ECG-MoE achieves state-of-the-art performance with 40% faster inference than multi-task baselines.

Coarse-to-Fine Monocular Re-Localization in OpenStreetMap via Semantic Alignment

Monocular re-localization plays a crucial role in enabling intelligent agents to achieve human-like perception. However, traditional methods rely on dense maps, which face scalability limitations and privacy risks. OpenStreetMap (OSM), as a lightweight map that protects privacy, offers semantic and geometric information with global scalability. Nonetheless, there are still challenges in using OSM for localization: the inherent cross-modal discrepancies between natural images and OSM, as well as the high computational cost of global map-based localization. In this paper, we propose a hierarchical search framework with semantic alignment for localization in OSM. First, the semantic awareness capability of DINO-ViT is utilised to deconstruct visual elements to establish semantic relationships with OSM. Second, a coarse-to-fine search paradigm is designed to replace global dense matching, enabling efficient progressive refinement. Extensive experiments demonstrate that our method significantly improves both localization accuracy and speed. When trained on a single dataset, the 3° orientation recall of our method even outperforms the 5° recall of state-of-the-art methods.

MIRAGE: Knowledge Graph-Guided Cross-Cohort MRI Synthesis for Alzheimer's Disease Prediction

Reliable Alzheimer's disease (AD) diagnosis increasingly relies on multimodal assessments combining structural Magnetic Resonance Imaging (MRI) and Electronic Health Records (EHR). However, deploying these models is bottlenecked by modality missingness, as MRI scans are expensive and frequently unavailable in many patient cohorts. Furthermore, synthesizing de novo 3D anatomical scans from sparse, high-dimensional tabular records is technically challenging and poses severe clinical risks. To address this, we introduce MIRAGE, a novel framework that reframes the missing-MRI problem as an anatomy-guided cross-modal latent distillation task. First, MIRAGE leverages a Biomedical Knowledge Graph (KG) and Graph Attention Networks to map heterogeneous EHR variables into a unified embedding space that can be propagated from cohorts with real MRIs to cohorts without them. To bridge the semantic gap and enforce physical spatial awareness, we employ a frozen pre-trained 3D U-Net decoder strictly as an auxiliary regularization engine. Supported by a novel cohort-aggregated skip feature compensation strategy, this decoder acts as a rigorous structural penalty, forcing 1D latent representations to encode biologically plausible, macro-level pathological semantics. By exclusively utilizing this distilled "diagnostic-surrogate" representation during inference, MIRAGE completely bypasses computationally expensive 3D voxel reconstruction. Experiments demonstrate that our framework successfully bridges the missing-modality gap, improving the AD classification rate by 13% compared to unimodal baselines in cohorts without real MRIs.

ContextRL: Enhancing MLLM's Knowledge Discovery Efficiency with Context-Augmented RL

We propose ContextRL, a novel framework that leverages context augmentation to overcome these bottlenecks. Specifically, to enhance Identifiability, we provide the reward model with full reference solutions as context, enabling fine-grained process verification to filter out false positives (samples with the right answer but low-quality reasoning process). To improve Reachability, we introduce a multi-turn sampling strategy where the reward model generates mistake reports for failed attempts, guiding the policy to "recover" correct responses from previously all-negative groups. Experimental results on 11 perception and reasoning benchmarks show that ContextRL significantly improves knowledge discovery efficiency. Notably, ContextRL enables the Qwen3-VL-8B model to achieve performance comparable to the 32B model, outperforming standard RLVR baselines by a large margin while effectively mitigating reward hacking. Our in-depth analysis reveals the significant potential of contextual information for improving reward model accuracy and document the widespread occurrence of reward hacking, offering valuable insights for future RLVR research.

H-WM: Robotic Task and Motion Planning Guided by Hierarchical World Model

World models are becoming central to robotic planning and control, as they enable prediction of future state transitions. Existing approaches often emphasize video generation or natural language prediction, which are difficult to directly ground in robot actions and suffer from compounding errors over long horizons. Traditional task and motion planning relies on symbolic logic world models, such as planning domains, that are robot-executable and robust for long-horizon reasoning. However, these methods typically operate independently of visual perception, preventing synchronized symbolic and perceptual state prediction. We propose a Hierarchical World Model (H-WM) that jointly predicts logical and visual state transitions within a unified bilevel framework. H-WM combines a high-level logical world model with a low-level visual world model, integrating the robot-executable, long-horizon robustness of symbolic reasoning with perceptual grounding from visual observations. The hierarchical outputs provide stable and consistent intermediate guidance for long-horizon tasks, mitigating error accumulation and enabling robust execution across extended task sequences. To train H-WM, we introduce a robotic dataset that aligns robot motion with symbolic states, actions, and visual observations. Experiments across vision-language-action (VLA) control policies demonstrate the effectiveness and generality of the approach.